Clerkships and Visiting Resident Rotations

Visiting Resident Application

Please complete this form to apply for a visiting resident rotation at Eisenhower Health. At the end of the application, you will be required to upload your CV, letter of recommendation, and medical school transcripts.

Questions & Concerns

For questions regarding the Visiting Resident Application, please contact Desiree Carcamo, MS, Clerkship & Visiting Resident Coordinator, at DCarcamo@eisenhowerhealth.org.

Step 1 of 3

This field is for validation purposes and should be left unchanged.
Name(Required)
Address(Required)
example@example.com
Emergency Contact Name(Required)
example@example.com

TRAINING & EDUCATION

Please list the residency program name as listed on AMA - https://freida.ama-assn.org/
Residency Program Coordinator(Required)
example@example.com
Eisenhower Health Graduate Medical Education (GME)
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